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| 结合案例情景模拟在康复科高危跌倒患者跌倒管理中的应用 |
| Application of case scenario simulation in fall management of high-risk fall patients in rehabilitation department |
| 投稿时间：2023-01-14 |
| DOI：10.3969/j.issn.1000-0399.2024.01.018 |
| 中文关键词: 案例情景模拟 防跌倒知识和行为 高危跌倒 伤害 |
| 英文关键词: Case scenario simulation Fall prevention knowledge and behavior High risk falls Damage |
| 基金项目:安徽省卫生健康委科研项目（编号：AHWJ2021a038） |
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| 中文摘要: |
| 目的 探讨结合案例情景模拟在康复科高危跌倒患者跌倒管理中的应用。方法 选择2020年1~12月皖南医学院第二附属医院康复医学科住院治疗的高危跌倒患者70例为研究对象，采用抽签法随机分为干预组和对照组，每组35例。对照组给予常规预防跌倒知识和技能教育，干预组在对照组基础上实施结合案例情景模拟教育。比较两组患者防跌倒知识和行为水平、跌倒发生率及伤害发生情况的差异。结果 干预前，两组预防跌倒知识和行为得分比较，差异均无统计学意义（P>0.05）；干预后，干预组预防跌倒知识得分、行为得分均高于对照组（P<0.05），干预组干预前后预防跌倒知识差值、行为差值均高于对照组，差异均有统计学意义（P<0.05）。干预后，患者跌倒发生率从1.18%降至0.146%，差异有统计学意义（P<0.05）；2级以上伤害发生率从75%降至0。结论 结合案例情景模拟能提高康复科高危跌倒患者防跌倒知识及技能水平，降低跌倒发生率和2级及以上伤害发生率，值得临床推广使用。 |
| 英文摘要: |
| Objective To explore the application of scenario simulation combined with case studies in the management of falls in highrisk fall patients in the rehabilitation department.Methods Seventy high-risk fall patients who were hospitalized in the Rehabilitation Medicine Department of the Second Affiliated Hospital of Wannan Medical College from January to December 2020 were selected as the research subjects. They were randomly divided into the intervention group and the control group using a lottery method, with 35 patients in each group.The control group received education on routine fall prevention knowledge and skills, while the intervention group received simulated education based on case scenarios on the basis of the control group. The differences were compared in fall prevention knowledge and behavior levels, fall incidence rate, and injury incidence between the two groups of patients.Results Before intervention, there was no statistically significant difference in the scores of fall prevention knowledge and behavior between the two groups(P>0.05); after intervention, the intervention group had higher scores of knowledge and behavior in preventing falls than the control group(P<0.05). The difference in knowledge and behavior in preventing falls before and after intervention in the intervention group was higher than that in the control group, and the differences were statistically significant(P<0.05). After intervention, the incidence of falls in patients decreased from 1.18% to 0.146%, with a statistically significant difference(P<0.05); the incidence of injuries above level 2 has decreased from 75% to 0.Conclusions Combining case scenario simulation can improve the knowledge and skill level of fall prevention for high-risk fall patients in the rehabilitation department, and reduce the incidence of falls and level 2 or above injuries, which is worthy of clinical promotion and use. |
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